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_ �--- <br /> 1685 <br /> i 17 Road • Loma, CO 81524 <br /> 1p�q,Cp�O�Po 2_ 7- 00 970-858-4009 • FAX 970-858-4331 <br /> Invoice <br /> DATE INVOICE# <br /> /12/05/2000 1484 <br /> BILL TO <br /> Division Of Mineral&Geology RECEIVED <br /> 1313 Sherman St.#215 <br /> Denver,Co 80203 <br /> DEC 06 2009 <br /> Division of Wnerals&Geoldff <br /> IMP <br /> Job Site TERMS <br /> Fruita Due on receipt <br /> DESCRIPTION QTY RATE AMOUNT <br /> Fruita Mine/American Shield Bond Forfeiture <br /> Project <br /> PKA-0-445 <br /> Retainage Billing <br /> Retainage Invoice#1425 1 997.20 997.20 <br /> Retainage Invoice#1432 1 137.50 137.50 <br /> Retainage Invoice#1483 1 50.00 50.00 <br /> Paul Krabacher,Project Mananger <br /> I <br /> Dirt-N-Iron,Inc. <br /> FED ID#84-1304442 Total <br /> $1,184.70 <br />